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Nick,After your story, I will never to do surgery for my hoffa's. Now my left knee hurts a lot, maybe because it is winter, but I have a sharp pain. I dont want to return at PT, because their exercises aren't for my fat pad problem. I do isometric exercises to build my VMO. I think, we have to fix maltracking knee caps, because knee caps irritate fat pad, but that is no easy. Read this post. I speak with him, and now he doest have problem with knees et fat pad, he fixes with surgery TTT. http://www.kneeguru.co.uk/KNEEtalk/index.php?action=profile;area=showposts;u=34887 I suggest you, no more surgery. Try to fix your knee caps. I know, when knee is painful, quad muscle stop worked.
I'm a little late in posting this, as ironically, I was in Houston attending a technical conference on my kneeniversary.Yes, 7 years since I had my left leg corrected for the mal-alignments that caused me so many problems for so many years. I couldn't be more grateful for the resources, help, and support I received here to get to the root of the problems and save me from the surgical mistake that was to be a Fulkerson TTT and lateral release in the presence of femoral anteversion and excess tibial torsion.At 7 years out, I am 100% free of the pain and instability I dealt with for so many years. I walk, run, jump, kick, bowl, bike, and generally do anything I want to do without knee pain or instability. I'm the mother of a fabulous 2-year old that I'm able to care for confidently, without worrying of falling down as I run behind her.I'm 90% free of the collateral damage of surgery to my femur and tibia. I do have tenderness internally on the soft tissue of the femur that only bothers me when I lay on hard surfaces on that side. It's interesting, though, that even at 7 years out, this does still fade with time. I noticed a few months ago I was laying on the floor on that side in my daughter's room playing with blocks and I was laying on that side and didn't even feel it. The tibia is 99% pain free. It's a little odd sensation along the incision, and definitely still numbness lateral to the incision, but it's not painful at all and probably will never go away completely.So my update is this. If you still read this, or if you come across it in your research. Do yourself a favor and make sure you have yourself thoroughly evaluated by a doctor that will look at each leg individually and will evaluate you for bony mal-alignments including knock-knees, bowed-legs, and excessively rotated femurs and tibias. This is not something that can be thoroughly evaluated by looking at your legs or regular x-rays. They are best quantified with rotational ct-scans and standing leg length x-rays. I found my doctor, Dr. Mark Sanders, in Houston, TX at the Sanders Clinic. There are choices out there and not every doctor is aware of or willing to evaluate these problems but is all too willing to do a cookie cutter procedure due to the presence of instability. It's important to treat the problem, not the symptom. I was able to eventually find a doctor that diagnosed the problem rather then just propose a surgical fix for the symptoms. I won't trust my legs to any other doctor now.